Minutes of the Health Commission Meeting
Tuesday, May 2, 2000
101 Grove Street, Room #300
San Francisco, CA 94102
1) CALL TO ORDER
The regular meeting of the Health Commission was called to order by
President Roma Guy, MSW, at 3:06 p.m.
- Commissioner Edward A. Chow, M.D.
- Commissioner Roma P. Guy, M.S.W.
- Commissioner Ron Hill
- Commissioner Lee Ann Monfredini
- Commissioner Harrison Parker, Sr., D.D.S.
- Commissioner John I. Umekubo, M.D.
- Commissioner David J. Sanchez, Jr., Ph.D.
President Guy announced that Commissioner Umekubo has been selected for
"Profiles in Excellence" by KGO-TV Channel 7; and Channel 7 will
be video taping Commissioner Umekubo at the beginning of the meeting.
2) APPROVAL OF MINUTES OF THE REGULAR MEETING OF APRIL 18, 2000
Action Taken: The Commission unanimously adopted the minutes
of the meeting of April 18, 2000.
3) APPROVAL OF THE CONSENT CALENDAR OF THE BUDGET COMMITTEE
(Commissioner Ron Hill)
PHP-Prevention Services– Follow-up reports for the
following contractors: Black Coalition on AIDS, UCSF Urban Health Study,
CAL-PEP, and CompassPoint.
Commissioner Hill expressed his appreciation for the positive updates
on these contractors.
(3.2) PHP-CMHS – Request for approval of the FY 1999-00
Performance Contract between the State Department of Mental Health and the
Department of Public Health, Community Mental Health Services.
(3.3) CHN-Laguna Honda Hospital – Request for approval to accept
and expend $693,750 in funds from the U.S. Department of Housing and Urban
Development for the Laguna Honda Assisted Living/Housing for Seniors
Project, for the five-year period of fiscal years 1999-00 to 2003-04.
(3.4) CHN-SFGH/LHH Nursing Operations – Request for approval of a
contract modification to extend, for three months, the contract with Nurse
Providers, Inc., for the provision of supplemental temporary nursing
personnel, the responsibility for which is shared among this contractor
and two other contractors for a total of $2,025,000, for the period of
July 1, 1999 through September 30, 2000. The shared contract amount will
be increased by $100,000 for the original period of July 1, 1999 through
June 30, 2000, and by $325,000 for the extension period of July 1, 2000
through September 30, 2000.
The wording on this item was modified to read as follows:
Request for approval of a contract modification to extend with Nurse
Providers, Inc., to add $425,000 to the contract for the provision of
supplemental temporary nursing personnel, the responsibility for which
is shared among this contractor and two other contractors for a total of
$2,025,000, for the period of July 1, 1999 through June 30, 2000.
The requested approval is for the same amount of funds as the
original wording for this item, but it is for a shorter time period due
to new estimates of usage of these services for the remainder of the
(3.5) CHN-SFGH– Request for approval of new contract with
Degenkolb-Structus, LLC, in the amount of $550,000, to provide an
engineering assessment and compliance plan for San Francisco General
Hospital in conformance with seismic safety regulations for hospitals
(Senate Bill 1953), for the period of May 1, 2000 through January 31,
(3.6) PHP-HIV Prevention Services – Request for approval of a
retroactive contract renewal with Aguilas Inc., in the amount of $46,014,
to provide prevention workshops and meetings targeting Latino men, for the
period of January 1, 2000 through December 31, 2000. (DPH contracted with
Aguilas for services totaling $23,007 during FY 1998-99).
Commissioner Hill requested an update in three months (August 15,
(3.7) PHP-HIV Prevention Services – Request for approval of a
two-year contract renewal with Glide Foundation in the amount of $53,008
per year, for the provision of HIV counseling, testing, risk reduction and
partner notification services, for the period of January 1, 2000 through
December 31,2001 for a total of $106,016. (DPH contracted with Glide for
services totaling $473,628 during FY 1998-99).
(3.8) PHP-Housing Services – Request for approval of a contract
modification with Episcopal Community Services (ECS) in the amount of
$35,000, for additional support services to the tenants of the Canon Kip
Community House, which serves homeless and recently homeless very
low-income residents, for a total contract value of $65,000, for the
period of July 1, 1999 through June 30, 2000. (DPH contracted with ECS for
a total of $1,172,999 during FY 1998-99).
(3.9) PHP/CHN – Request for approval of a continuing modification
resolution to extend current Department of Public Health contracts on a
month to month basis until December 31, 2000, or until the 2000-2001
renewal contract is certified, whichever comes first.
Commissioner Parker inquired about compliance to Commission Policy #24.
An update on compliance to Policy #24 will be presented to the full
Commission in June.
Action Taken: The Commission approved the Consent Calendar of the
4) DIRECTOR’S REPORT
(Mitchell H. Katz, M.D., Director of Health)
2000 State of the City Public Health Address
Yesterday I delivered the State of the City Public Health Address
before the Board of Supervisors. All members of the Health Commission have
been provided copies of the report. The Department has given this Address
for the last four years to provide the public and our elected officials
with information on the health status of the community. My remarks focused
on the funding challenges facing the Department, our need to offer more
community-based alternative for the socially and medically complex
populations we serve, and the need for continued funding for primary
prevention, substance abuse and mental health services. I would like to
acknowledge the tremendous work done by Rachelle Lee of the Office of
Policy and Planning in working on this report. Population Health and
Prevention compiled the overview of the health status of San Francisco.
The report will be available on the Department’s web site at
POPULATION HEALTH AND PREVENTION
Robert Wood Johnson Foundation Award
I am pleased to inform the Commission that The Robert Wood Johnson
Foundation has approved a grant of $887,667 to the Department to support a
48-month evaluation of the impact of a local purchasing alliance on health
insurance status in San Francisco. Dr. Herminia Palacio will be in charge
of directing this grant.
The grant is being made under the Foundation's program, "Changes
in Health Care Financing and Organization."
Million Mom March
On Mother's Day, Sunday, May 14, 2000 the Department of Public Health
will participate in the Million Mom March in Oakland. The Million Mom
March is a mobilization for common sense gun laws.. The Community Health
Education Section is coordinating DPH involvement in the March.
LBT Women's Health Forum
Approximately 300 providers, consumers and advocates, attended April 7th
Lesbian, Bisexual Transgendered Women’s Health Forum sponsored by Public
Health, Kaiser Permanente, the University of California, Cal Pacific
Medical Center, and others. The LBT Forum was designed to promote the
Institute of Medicine Report on Lesbian Health and to educate providers
about the needs of their LBT clients. Breakout panels focused upon making
healthcare accessible, sensitive and sophisticated for LBT patients and to
assist providers in becoming more aware and more comfortable discussing
LBT health issues with their clients and patients. A draft "Standards
of Care" was distributed for feedback and will be edited and
presented to the Health Commission for consideration. Commissioners Guy
and Monfredini attended the Forum.
Community Health Education
Michael Radetsky, Health Educator in Community Health Education, has
been invited to serve as a panelist on "Pedestrian Safety for
Everyone" at the California Office of Traffic Safety Summit in San
Diego, April 24 - 27, 2000. He will discuss lessons learned working on
pedestrian safety with seniors, and in the Mission and Tenderloin
communities in San Francisco.
Commissioner Parker requested clarification on the closure of the
outpatient pharmacy, the use of neighborhood pharmacies, and the impact on
savings in the budget.
Commissioner Monfredini commented that the LBT Health Forum was
extraordinary. However, she was disappointed that the mainstream press did
not cover the forum.
Commissioner Umekubo reinforced the need to decrease the number of
decertified beds at SFGH. He supports Dr. Katz’s direction and urged the
Commission to monitor this.
Commissioner Chow expressed h is commitment to the pharmacy proposal
because there will be better care for our patients.
Commissioner Hill firmly supported the closure of the outpatient
pharmacy and encouraged the Department to move on this so that patients
will have better service.
President Guy expressed her support of the direction for psychiatry.
She encouraged the Commission at the Joint Conference Committee to have
detailed and open discussions on the implementation phases.
5) CONSIDERATION OF A SUPPLEMENTAL FOR THE DEPARTMENT OF PUBLIC HEALTH
IN THE AMOUNT OF $10 MILLION FOR FY 1999-00
Monique Zmuda, Chief Financial Officer, presented her report.
Action Taken: The Commission unanimously approved the $10 million
supplemental for FY 199-00.
6) PRESENTATION ON PRIMARY CARE
- Dr. Melissa Welch, Chief Medical Officer of the Community Health
Network, presented a report on primary care, which included:
- Overview of Historical Perspective
- Primary Care Division, Community Health Network - Map of Clinics
- Encounter Data, Productivity and Access
- Selected Accomplishments and Challenges
- Next Steps: CHN Primary Care Internal Assessment
Dr. Welch also provided the following documents:
- Health Commission Resolution of Primary Care (#160-89)
- Fiscal Year 1999-2000 Monthly Encounter Totals
- Attending Physician Productivity
- Selected Primary Care Quality Improvement Activities
- Immunization Shoebox Project
- Primary Care Provider Assignment
- Attitudes and Practices on Complementary and Alternative Medicine: A
Survey of the CHNSF Medical Staff
- CHN Primary Care Directory
The full report is available in the Commission Office.
Supplemental materials were also submitted, which included:
- Demographics of primary care clinic patients
- Trends in encounters by Medical Providers in 1999-2000
- Attending Physician Productivity
Dr. Welch acknowledged Jan Murphy, Primary Care Administrator; and Dr.
David Ofman, Medical Director of Primary Care, who prepared the Primary
Presently, the Department is conducting a CHN Primary Care Internal
Assessment. This assessment will be integrated into the overall Department
- Excellent, informative, comprehensive report
- Encouraged collaboration with other groups
- Need to clarify the Department’s relationship with the S.F.
Community Clinic Consortium
- Need to look at demographics of groups served by the clinics
- Need data of the underserved
- Unclear on where we are going and how to get there; important but
- Integrate mental health with primary care
- Important to address non-MD alternative therapies
- The number of clinics should be assessed
- Important to hear all voices and promote consensus building
throughout the process
- Data needed on the percentage of total patients being served in the
President Guy requested the primary care recommendations go to the
Joint Conference Committee for CHN prior to coming to the full Commission.
President Guy thanked Dr. Welch and the Department for an excellent
report on primary care.
7) OTHER BUSINESS/PUBLIC COMMENTS
The meeting was adjourned at 5:20 p.m.
Sandy Ouye Mori, Executive Secretary to the Health Commission